Individual provider Active NPI

Rommel Cruz Quimson, OTR, CHT

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1710195805
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
007209-1 Issued in NY
Practice address
130 E 35TH St
Care of East Side Medical Practice, PC
New York, NY 10016-3815
Phone
(212) 481-3600
Fax
(212) 481-3336
NPI assigned
May 20, 2007
Last updated
Jan 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 007209-1 NY Primary

Addresses

Primary practice location

130 E 35TH St
Care of East Side Medical Practice, PC
New York, NY 10016-3815

Mailing address

228 W 16TH St Apt 1a
New York, NY 10011-6127
Phone (646) 641-4430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007209-1NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Inspirations PT, PC PastSince Sep 16, 2008 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1710195805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W 16TH ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116127",
            "telephone_number": "646-641-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 35TH ST",
            "address_2": "CARE OF EAST SIDE MEDICAL PRACTICE, PC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163815",
            "telephone_number": "212-481-3600",
            "fax_number": "212-481-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIMSON",
        "first_name": "ROMMEL",
        "middle_name": "CRUZ",
        "name_prefix": "Mr.",
        "credential": "OTR, CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007209-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.